- Molina Healthcare (Southaven, MS)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Molina Healthcare (Jackson, MS)
- **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Baylor Scott & White Health (Jackson, MS)
- …improvement projects in help of BSWH's strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statutes, policies, and ... specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Performs concurrent and… more
- Cardinal Health (Jackson, MS)
- …+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen in order to not delay patient care ... standards. + Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary.… more